Audrie Wisell (NPI# 1518417054, PAC ID# 0446539233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518417054 |
| PAC ID by PECOS | 0446539233 |
| Professional Enrollment ID | I20161118001024 |
| Full Name | Audrie Wisell |
| Organization Legal Name | UINTAH BASIN MEDICAL CENTER, INC |
| Address |
250 W Suite 2 Roosevelt UT 84066 |
| Phone Number | 4357224691 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244131944 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460019 | UINTAH BASIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 250 W, Suite 2, Roosevelt, UT 84066 | 4357224691 | UINTAH BASIN MEDICAL CENTER, INC |
| Organization Legal Name | UINTAH BASIN MEDICAL CENTER, INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Michael Birkin | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Bruce F Arnold | Pathology | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| David Mathis Thayn | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Peter L Tanner | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Kortney Lynn Mcmullin | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Jeffrey Mcclellan | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Sean David Paulsen | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Colby Duncan | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Jason J Larson | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Joseph A Garcia | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Street Address |
250 W SUITE 2 |
| City | ROOSEVELT |
| State | UT |
| Zip | 84066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Michael Birkin | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Bruce F Arnold | Pathology | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| David Mathis Thayn | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Peter L Tanner | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Kortney Lynn Mcmullin | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Jeffrey Mcclellan | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Sean David Paulsen | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Colby Duncan | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Jason J Larson | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Joseph A Garcia | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, 2 Anesthesia Departmen, Roosevelt, UT 84066-2336 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amos Reid Burgess | Emergency Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Jacob Dunkley Brown | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Kristopher S Riser | Nurse Practitioner | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Manpreet Kaur | Internal Medicine | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Dennis K Heaston | Diagnostic Radiology | Uintah Basin Medical Center, Inc | 250 W, Suite 2, Roosevelt, UT 84066 |
| Darwin Mckee | Physician Assistant | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Allen F Wallace | Certified Registered Nurse Anesthetist (crna) | Ubmc Anesthesiology | 250 W 300 N, 2 Uintah Basin Medical Center, Roosevelt, UT 84066-2336 |
| Walter M Snihurowych | Urology | 250 W 300, Roosevelt, UT 84066-2336 | |
| Kerry R Baum | General Surgery | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Clayton S Syndergaard | Obstetrics/gynecology | Northeastern Utah Medical Group | 210 W, Suite 3, Roosevelt, UT 84066-2336 |
| Find all physicians in zip 84066 | |||
| City | ROOSEVELT |
| Zip Code | 84066 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROOSEVELT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Audrie Wisell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.